Provider Demographics
NPI:1003890385
Name:SUATONI, FRANK J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:SUATONI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:35 CASTLE ROCK
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-4463
Mailing Address - Country:US
Mailing Address - Phone:203-315-1387
Mailing Address - Fax:203-315-7725
Practice Address - Street 1:10 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5214
Practice Address - Country:US
Practice Address - Phone:914-637-3510
Practice Address - Fax:914-819-0061
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT038550207L00000X
NY217353207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01155971Medicaid
NY0796TYRXP1Medicare PIN
NY0796TZXWW1Medicare PIN
NY0796T1Medicare PIN
CTB33042Medicare UPIN
NY0796TZT5H1Medicare PIN
CT050001559Medicare PIN